FHIR General Extensions IG
0.1.0 - Working Copy
FHIR General Extensions IG
0.1.0 - Working Copy
This page is part of the FHIR Core Extensions Registry (v0.1.0: Releases Draft) based on FHIR v5.0.0. . For a full list of available versions, see the Directory of published versions 
| Page standards status: Trial-use | Maturity Level: 1 |
Definitions for the allergyintolerance-substanceExposureRisk extension.
Guidance on how to interpret the contents of this table can be found here.
| 1. Extension | |
| Definition | A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product. Optional Extension Element - found in all resources. |
| Control | 0..1* |
| Comments | This extension is available and is intended to be used as a more completely structured and flexible alternative to the 'code' element for representing positive and negative allergy and intolerance statements. If this extension element is present, the AllergyIntolerance.code element SHALL be omitted (see invariant "code or substanceExposureRisk"). |
| Invariants | Defined on this element inv-1: If the substanceExposureRisk extension element is present, the AllergyIntolerance.code element must be omitted. (: substanceExposureRisk.exists() and code.empty()) |
| 2. Extension.extension:substance | |
| SliceName | substance |
| Definition | Code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk or is known not to have an associated risk of an adverse reaction upon exposure. |
| Control | 1..1 |
| Type | Extension |
| Comments | It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text. |
| 3. Extension.extension:substance.extension | |
| Control | 0..0 |
| 4. Extension.extension:substance.url | |
| Control | 0..? |
| Type | uri |
| Fixed Value | substance |
| 5. Extension.extension:substance.value[x] | |
| Control | 1..? |
| Binding | For example codes, see SubstanceCode Codes defining the type of the substance (including pharmaceutical products) |
| Type | CodeableConcept |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| 6. Extension.extension:exposureRisk | |
| SliceName | exposureRisk |
| Definition | The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product. |
| Control | 1..1 |
| Type | Extension |
| Comments | exposureRisk is a modifier of the substance. |
| 7. Extension.extension:exposureRisk.extension | |
| Control | 0..0 |
| 8. Extension.extension:exposureRisk.url | |
| Control | 0..? |
| Type | uri |
| Fixed Value | exposureRisk |
| 9. Extension.extension:exposureRisk.value[x] | |
| Control | 1..? |
| Binding | The codes SHALL be taken from AllergyIntoleranceSubstanceExposureRisk The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products) |
| Type | CodeableConcept |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| 10. Extension.url | |
| Fixed Value | http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk |
| 11. Extension.value[x] | |
| Control | 0..01 |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
Guidance on how to interpret the contents of this table can be found here.
| 1. Extension | |
| Definition | A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product. Optional Extension Element - found in all resources. |
| Control | 0..1* |
| Comments | This extension is available and is intended to be used as a more completely structured and flexible alternative to the 'code' element for representing positive and negative allergy and intolerance statements. If this extension element is present, the AllergyIntolerance.code element SHALL be omitted (see invariant "code or substanceExposureRisk"). |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) inv-1: If the substanceExposureRisk extension element is present, the AllergyIntolerance.code element must be omitted. (: substanceExposureRisk.exists() and code.empty()) |
| 2. Extension.extension:substance | |
| SliceName | substance |
| Definition | Code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk or is known not to have an associated risk of an adverse reaction upon exposure. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Control | 10..1* |
| Type | Extension |
| Summary | false |
| Alternate Names | extensions, user content |
| Comments | It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
| 3. Extension.extension:substance.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Control | 0..0* |
| Type | Extension |
| Summary | false |
| Alternate Names | extensions, user content |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 4. Extension.extension:substance.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Control | 1..1 |
| Type | uri |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Fixed Value | substance |
| 5. Extension.extension:substance.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Control | 10..1 This element is affected by the following invariants: ext-1 |
| Binding | For example codes, see SubstanceCodeFor codes, see (unbound) Codes defining the type of the substance (including pharmaceutical products) |
| Type | Choice of: CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, ParameterDefinition, dateTime, code, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Summary | false |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
| 6. Extension.extension:exposureRisk | |
| SliceName | exposureRisk |
| Definition | The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Control | 10..1* |
| Type | Extension |
| Summary | false |
| Alternate Names | extensions, user content |
| Comments | exposureRisk is a modifier of the substance. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
| 7. Extension.extension:exposureRisk.extension | |
| Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Control | 0..0* |
| Type | Extension |
| Summary | false |
| Alternate Names | extensions, user content |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 8. Extension.extension:exposureRisk.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Control | 1..1 |
| Type | uri |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Fixed Value | exposureRisk |
| 9. Extension.extension:exposureRisk.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Control | 10..1 This element is affected by the following invariants: ext-1 |
| Binding | The codes SHALL be taken from AllergyIntoleranceSubstanceExposureRiskFor codes, see (unbound) The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products) |
| Type | Choice of: CodeableConcept, date, Meta, Address, Attachment, integer, Count, DataRequirement, Dosage, uuid, Identifier, RatioRange, Coding, SampledData, id, positiveInt, Distance, Availability, integer64, Period, Duration, canonical, Range, RelatedArtifact, base64Binary, UsageContext, Timing, decimal, ExtendedContactDetail, ParameterDefinition, dateTime, code, string, oid, instant, ContactPoint, HumanName, Money, markdown, Ratio, Age, Reference, TriggerDefinition, Quantity, uri, url, Annotation, ContactDetail, boolean, Expression, CodeableReference, Signature, unsignedInt, time |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Summary | false |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
| 10. Extension.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Control | 1..1 |
| Type | uri |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Fixed Value | http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk |
| 11. Extension.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Control | 0..01 This element is affected by the following invariants: ext-1 |
| Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, RatioRange, Reference, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, Dosage, Meta |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Summary | false |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here.
| 1. Extension | |
| Definition | A complex extension allowing structured capture of the exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product. |
| Control | 0..1 |
| Comments | This extension is available and is intended to be used as a more completely structured and flexible alternative to the 'code' element for representing positive and negative allergy and intolerance statements. If this extension element is present, the AllergyIntolerance.code element SHALL be omitted (see invariant "code or substanceExposureRisk"). |
| 2. Extension.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | id |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 3. Extension.extension | |
| Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
| Control | 0..* |
| Type | Extension |
| Summary | false |
| Alternate Names | extensions, user content |
| Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 4. Extension.extension:substance | |
| SliceName | substance |
| Definition | Code for a substance or pharmaceutical product that is considered to be responsible for the adverse reaction risk or is known not to have an associated risk of an adverse reaction upon exposure. |
| Control | 1..1 |
| Type | Extension |
| Summary | false |
| Comments | It is strongly recommended that this element be populated using a terminology, where possible. For example, some terminologies used include RxNorm, SNOMED CT, DM+D, NDFRT, UNII, and ATC. Plain text should only be used if there is no appropriate terminology available. Additional details can be specified in the text. |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
| 5. Extension.extension:substance.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | id |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 6. Extension.extension:substance.extension | |
| Definition | An Extension |
| Control | 0..0 |
| Type | Extension |
| Summary | false |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 7. Extension.extension:substance.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Control | 1..1 |
| Type | uri |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Fixed Value | substance |
| 8. Extension.extension:substance.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Control | 1..1 This element is affected by the following invariants: ext-1 |
| Binding | For example codes, see SubstanceCode Codes defining the type of the substance (including pharmaceutical products) |
| Type | CodeableConcept |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Summary | false |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
| 9. Extension.extension:exposureRisk | |
| SliceName | exposureRisk |
| Definition | The presence or absence of a known exposure risk of the patient for an adverse reaction (allergy or intolerance) to the specified substance/product. |
| Control | 1..1 |
| Type | Extension |
| Summary | false |
| Comments | exposureRisk is a modifier of the substance. |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
| 10. Extension.extension:exposureRisk.id | |
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Control | 0..1 This element is affected by the following invariants: ele-1 |
| Type | id |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| 11. Extension.extension:exposureRisk.extension | |
| Definition | An Extension |
| Control | 0..0 |
| Type | Extension |
| Summary | false |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists()) |
| Slicing | This element introduces a set of slices on Extension.extension.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
| 12. Extension.extension:exposureRisk.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Control | 1..1 |
| Type | uri |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Fixed Value | exposureRisk |
| 13. Extension.extension:exposureRisk.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Control | 1..1 This element is affected by the following invariants: ext-1 |
| Binding | The codes SHALL be taken from AllergyIntoleranceSubstanceExposureRisk The risk of an adverse reaction (allergy or intolerance) for this patient upon exposure to the substance (including pharmaceutical products) |
| Type | CodeableConcept |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Summary | false |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
| 14. Extension.url | |
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Control | 1..1 |
| Type | uri |
| XML Representation | In the XML format, this property is represented as an attribute. |
| Summary | false |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Fixed Value | http://hl7.org/fhir/StructureDefinition/allergyintolerance-substanceExposureRisk |
| 15. Extension.value[x] | |
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Control | 0..0 This element is affected by the following invariants: ext-1 |
| Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, integer64, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, CodeableReference, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, RatioRange, Reference, SampledData, Signature, Timing, ContactDetail, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Availability, ExtendedContactDetail, Dosage, Meta |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Summary | false |
| Invariants | Defined on this element ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count())) |
IG © 2022+ HL7 International / FHIR Infrastructure. Package hl7.fhir.uv.extensions#0.1.0 based on FHIR 5.0.0. Generated 2023-03-04
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